NPI: 1528251907 · SAINT CLOUD, FL 34772 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 557 | $9K |
| 2020 | 55 | $126.94 |
| 2021 | 1,407 | $17K |
| 2022 | 3,288 | $67K |
| 2023 | 3,160 | $83K |
| 2024 | 218 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 874 | 769 | $81K | |
| 92004 | 758 | 685 | $73K | |
| V2020 | Vision svcs frames purchases | 1,820 | 1,339 | $24K |
| 92015 | 1,963 | 1,770 | $2K | |
| 92340 | 1,728 | 1,251 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,237 | 908 | $1K |
| 92310 | 34 | 26 | $105.00 | |
| V2100 | Lens spher single plano 4.00 | 183 | 125 | $81.99 |
| V2784 | Lens polycarb or equal | 88 | 65 | $0.00 |